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  • How the collaborative efforts of our medical team saved one little boy’s life

    Written by Dr. Pinnelas, pediatric hospitalist at Arnold Palmer Hospital

  • How to calm your child’s fears at nighttime

    At least once a week, my 3-year-old daughter will ask me to lie down with her at bedtime. She usually asks for “mommy to snuggle me,” but the past few times has been because she is scared of the dark. This fear is very common among kids, and there are a few things that we can do as parents to help our children overcome their fear of the dark.

  • When Mother’s Day brings sadness along with joy

    My mom died seven years ago. We were very close. Not a day goes by that I don’t think about her about a hundred times. To be honest, I miss her more than words can even express. As a result of this, Mother’s Day is always a strange day for me. I am a mom, but I don’t have a Mom anymore. Year after year, my Mother’s Days are filled with sentimental joy when I read my son’s homemade cards and aches of sorrow when all I want to do is be able to call my own Mom and tell her I love her.

  • How I chose to discipline my son when he was a toddler

    To spank or not to spank?

  • Are you concerned about bedwetting?

    It makes me sad as a pediatrician to see families who stress over children who wet the bed. This is usually a normal, natural issue that goes away in time, yet it can really hurt children who are treated like it is their fault.

  • Toddlers are taking selfies?!

    The Oxford English Dictionary actually declared “selfie” the “word of the year” in 2013! That is hard to imagine for parents like me; my first cell phone weighed three pounds! Now smart phones are everywhere and our children are connected to the rest of the world with the tap of a screen.

  • What is Vitamin K, and why is it important for my newborn baby?

    Vitamin K is a fat-soluble vitamin that our body needs to help make proteins that are needed for blood coagulation. In other words, it’s one of the ways our body works to stop bleeding. We can find vitamin K in green leafy vegetables such as spinach, kale, broccoli, and collard greens. Bacteria in our intestine also produce vitamin K. If we do not have enough vitamin K, we may experience prolonged bleeding from small cuts or big bruises from relatively small injuries.

  • 10 reasons to get your kids into the kitchen

    If getting your kids into the kitchen sounds a bit daunting, you aren’t alone. There’s the extra time and the mess and the trouble. It’s easy to think that things might be simpler if we sent our kids off to play while we handled dinner alone. However, we might be overlooking some great opportunities for us and for our kids.

  • Does providing alcohol to our children teach them to drink responsibly?

    It is so hard for parents to know the right ways to help our children stay safe and out of trouble. It seems like everywhere we turn there are more tough influences for us to confront. Electronics invade our children’s sleep time, social time, and study time. Drugs, both illicit and prescription, are readily available. Sexually transmitted diseases are potentially life-changing, if not deadly, and are transmitted at younger ages at increasing rates. The list is long. But one of the big culprits is the same stuff we dealt with as kids- the age-old problem of alcohol. We know the mistakes we made. We know the potential consequences of excessive alcohol intake: automobile accidents, drowning, unintended pregnancies, alcoholism, even death. We want to teach our children to navigate the hazards of this culturally accepted drug so that they end up safe and sound in adulthood.

  • What to expect at your child's therapy evaluation

    Your child has been referred to Occupational Therapy, Physical Therapy or Speech Therapy. So, what's next? First of all, don't dread this appointment. Therapists can be a wealth of information and you will leave that first appointment with some useful tools. Part of a therapist’s job is to share valuable information with you about your child- both their strengths and weaknesses. Their job is to help your child reach their maximum potential and equip you to be an expert about your child’s abilities. This is a good thing.

    For All Evaluations

    Bring your child in comfortable clothing that allow full movement Make sure they are well rested Bring any specific equipment they use such as walkers, splints, or communication devices Be prepared to share concerns you or your doctor may have Provide a list of their medications Be prepared to leave for part of the session if asked (so that therapist can build rapport and see how your child works on their own)

    What to bring for Feeding Concerns

    A hungry kiddo Food you’re sure your child will eat Food you have tried to give your child but they haven’t accepted A drink your child typically accepts: bottle, sippy cup, straw cup, etc. A list of their allergies or recent notes from any specialists

    What to Bring for School Related Concerns

    A copy of their 504 Plan, IEP, Behavior Contract or Health Plan A letter from the teacher expressing any specific concerns (if possible) A sample of their written work from class (if this is a concern) Report a from the school psychologist or therapist (if it’s available)

    During the Evaluation

    Let the therapist take the lead but feel free to comment if you feel your child is not showing their full potential. Be as specific as possible. Remember, you are the expert on your child and the therapist is getting a one-time snapshot. Any information on how your child typically functions is very much appreciated. During the evaluation, your therapists will gather valuable information on how your child responds- or doesn't respond- to certain tasks. The therapist is likely to approach your child in a specific way to achieve a desired outcome. For this reason, resist the urge to help your child complete tasks presented. Remember, therapists are looking to build rapport with your little one and form a partnership with you to ensure your child’s success. They’ll definitely let you know if they need you to jump in and help out.

    After your Evaluation

    Ask the therapist for their professional opinion on what strengths they observe in your child and what areas of concern they have. Would they recommend referrals to other professionals or further testing? If therapy is recommended, how often will they need to be seen to achieve their goals? What skills does the therapist see your child achieving through their intervention? How much work at home will be required to achieve these results? Although most of the recommendations will come during your child’s treatment sessions, you can still leave the evaluation equipped with something beneficial for your child. Ask for a few suggestions on what you can work on at home while you await your first therapy session. Therapists want to build your child’s skills and maximize their strengths so they’ll have great suggestions for toys and fun activities to help your child achieve their goals.